- Post-traumatic stress disorder (PTSD) is a mental health disorder that occurs in some people after experiencing or witnessing a traumatic event.
- Onset may involve not only exposure to trauma but also genetic, neurobiological, and personal factors, as well as the post-event environment.
- Even after the trauma, persistent threat responses and heightened boundaries can lead to difficulties in regulating memory, emotion, and behavior.
- Representative manifestations appear in four domains: re-experiencing the trauma, avoidance, excessive arousal/reactivity, and negative changes in cognition and mood.
- Childhood trauma, lack of social support, prolonged duration of the event, additional stress, or a history of mental illness or substance use can increase the risk, and individual differences are large.
- Symptoms may begin immediately after the event or months or years later, and can persist for long periods, with repeated cycles of improvement and worsening.
- Diagnosis is centered on interviews and screening assessments by mental health professionals, synthesizing symptom types, duration, and functional impairment.
- A definitive diagnosis cannot be made through specific blood tests or imaging tests alone, and differential diagnosis from depression, anxiety disorders, sleep disorders, and substance use is required.
- Management is conducted by considering psychotherapy, pharmacotherapy as needed, safety, sleep, social support, and comorbidity assessment together.
- Psychotherapy and pharmacotherapy are the main axes of treatment, and effectiveness and suitability vary depending on the symptoms and the individual.